Provider Demographics
NPI:1043036908
Name:LAMPRON, NOEMIE (LMT)
Entity type:Individual
Prefix:
First Name:NOEMIE
Middle Name:
Last Name:LAMPRON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25133 71ST AVE APT 114B
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-2700
Mailing Address - Country:US
Mailing Address - Phone:516-888-6176
Mailing Address - Fax:
Practice Address - Street 1:25133 71ST AVE APT 114B
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-2700
Practice Address - Country:US
Practice Address - Phone:516-888-6176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033740-01225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist